| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,738.00 | $9,168.00 | $16,991.00 | |
Cigna
| Professional | $890.95 | $890.95 | $1,284.94 | |
Kaiser Permanente
| Professional | $393.93 | $393.93 | $1,619.00 | |
Lucent Health
| Facility | $1,436.42 | $6,039.30 | $26,542.00 | |
Lucent Health
| Professional | $4,012.68 | $4,012.68 | $4,012.68 |